Minimum of 250 words with at least one peer review reference in 7th edition apa style

 Integrate ethical decision-making principles that promote a culture of care. 

 THIS IS A DOCTORATE DEGREE IN NURSING PROGRAM 

Academic Clinical History and Physical Note 1

Academic clinical history and physical notes provide a unique opportunity to practice and demonstrate advanced practice documentation skills, to develop and demonstrate critical thinking and clinical reasoning skills, and to practice identifying acute and chronic problems and formulating evidence-based plans of care.

Complete an academic clinical history and physical note based on a patient seen during clinical. In your assessment, provide the following.

History and Physical Note

1. Chief complaint/reason for admission/visit/consult.

2. HPI for the H&P or consult notes.

3. Medical, surgical, family, social, and allergy history.

4. Home medications, including dosages, route, frequency, and current medications, if a consultation note

5. Review of systems with all body systems for H&P or consult notes. Review of systems is what the patient or family/friends tell you (by body system).

6. Vital signs and weight.

7. Physical exam with a complete head-to-toe evaluation. Include pertinent positives and negatives based on findings from head-to-toe exam.

8. Lab/Imaging/Diagnostic test results (including date).

Assessment and Clinical Impressions

1. Identify at least three differential diagnoses based upon the chief complaint, ROS, assessment, or abnormal diagnostic tools with rationale.

2. Include a complete list of all diagnoses that are both acute and chronic.

3. List the differential diagnoses and chronic conditions in order of priority.

Plan Component Management and Plan Criteria Incorporation

1. Select appropriate diagnostic and therapeutic interventions based on efficacy, safety, cost, and acceptability. Provide rationale.

2. Discuss disposition and expected outcomes.

3. Identify and address health education, health promotion, and disease prevention.

4. Provide case summary with ethical, legal, and geriatric considerations. Consider potential issues, even if they are not evident.

General Requirements

Incorporate at least three to Five peer-reviewed articles in the assessment or plan. Words count should be between 1000-1500.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

• Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
  • This may include unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
• Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Minimum of 250 words with at least peer review reference in 7th edition apa style 

What are some ways you can introduce bias in a qualitative study? 

What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.

Module 3 – Discussion (Lesson 8)

Instructions:

1. Please visit the Time to Change  website. 
2. Summarize in a minimum of at least three (3) paragraphs what you learned about Mental Health. 
3. Discuss any ideas you may have to support Mental Health awareness and how to improve its outcome.
4. Include and cite references to support your answer. 

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. The ability to articulate research data and summarize relevant content supports the student’s ability to further develop and synthesize the assignments that constitute the components of the capstone project.

The assignment will be used to develop a written implementation plan.

For this assignment, provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table,” determine the level and strength of the evidence for each of the eight research articles you have selected. The articles should be current (within the last 5 years) and closely relate to the PICOT question developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

PLEASE USE THE UPLOADED LITERATURE REVIEW TEMPLATE ALONG WITH THE 6 ARTICLES AND WITH THE HELP OF THE PICOT QUESTION TO FILL IN THE LITERATURE REVIEW. THERE NEEDS TO BE 8 ARTICLES, SO IF YOU CAN FIND 2 MORE ARTICLES THAT WOULD BE APPRECIATED. 

PLEASE FOLLOW ALL DIRECTIONS 

I need the following abstract to be edited

This is the Initial Abstract Submission  

Abstract

Topic: Improving Medication Adherence in Diabetic Patients in Home Health Care Settings

Poor medical adherence for patient living with diabetes while undergoing home-based care has been identified as one of the health issues that should be looked into. The improper adherence leads to poor health outcomes which consequentially affects the general health quality. Home based care brings a lot of advantages to patients suffering from diabetes who would otherwise have been institutionalized. However, the biggest challenge it faces is lack of medical adherence by the patient. This brings about the need for follow-ups by medical practitioners. Since the innovation and advancement of Electronic Health Record, it has been easy for medical practitioner to monitor the progress of their patients. Nonadherence to medication could lead to failure of the treatment as well as developing body resistance to the drugs. It is essential that an investigation be made von the factors that leads to non-adherence on medication by diabetic patients who are at home-based health care, (Zullig, et al, 2017).

Reference

Zullig, L. L., Ramos, K., & Bosworth, H. B. (2017). Improving medication adherence in coronary heart disease. Current Cardiology Reports, 19(11), 113.

Professor’s Comments:

Thank you for your submission. Please be sure to review the DPI template in the abstract section for more guidance. You cannot have references in the abstract section so make sure you do not include any information that requires references. Please see below some editing to your abstract….you still need editing but this give you a starting point and remember to include your framework/model

Patients living with diabetes and are undergoing home-based care often have multiple medications and multiple health conditions that increase their self-care complexity. One of the resulting complications from this self-care complexity is poor medical adherence which can lead to poor health outcomes including diabetes complications as well as an increase in the morbidity and mortality. Patients receiving home-based care have access to skilled nursing services. These skills nursing services can offer disease specific education on diabetes as well as personalized medication adherence education as a way of improving medication adherence. The purpose of this quantitative pre and post test project was to ………..

In this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

• What is the health problem?
• Which group(s) are most likely to be at risk?
• What social/behavioral/health system determinants affect this?
• Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
• What resistance might be met in implementing the intervention/activity?

Needs to be at least 500 words in APA format with at least 2 scholarly articles within the last 5 years. 

Week 8: Translating Change as a Practice Scholar

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As a practice scholar, you are aware of the vast amounts of new knowledge available to inform practice. Reflect upon this issue and consider the following.

• What strategies will you use to stay informed about current best available evidence?
• What strategies will you use to disseminate current best available evidence to those you lead?
• In recent history, there is little to no indication of the sustainability of evidence to reduce the eight national problems. What strategies will you use to ensure the sustainability of evidence-based practice?